NPI 1013368133

Carrie Clark, PTA

Practitioner Physical Therapy Assistant Mt Pleasant, SC

Practice location

Address: 586 Lone Tree Dr, Mt Pleasant, SC 29464-8170
Phone: (843) 884-7880
Fax: (843) 884-6635
Mailing address: 790 Remington Blvd, Bolingbrook, IL 60440-4909

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 3536 (SC)

Other Physical Therapy Assistant providers in South Carolina →

Registry record

NPI: 1013368133
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jun 2016
Record last updated: 30 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.